Dynamic Rehabilitation Services LLC
NPI 1194102434 · Physical Therapist · Diberville, MS
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dynamic Rehabilitation Services LLC is a Physical Therapist organization in Diberville, MS (NPI 1194102434).
Provider details
- NPI number
- 1194102434
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Robert Ellis, Physical Therapist/Owner(228) 326-1115
- License
- PT5070 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Neolife PT and Wellness
- Doing business as
- Neolife PT and Wellness
Additional practice locations (2)
- 604 Blue Meadow RdBay St Louis, MS 39520-2834Phone: (228) 280-8120
- 9036 Carl Legett Rd Ste BGulfport, MS 39503-6234Phone: (228) 280-8120
Registry dates
- Enumerated
- 2015-05-06
- Last updated
- 2023-07-05
- Certified
- 2023-07-05
Frequently asked questions
- What is Dynamic Rehabilitation Services LLC's NPI number?
- Dynamic Rehabilitation Services LLC's National Provider Identifier (NPI) is 1194102434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dynamic Rehabilitation Services LLC?
- Dynamic Rehabilitation Services LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Dynamic Rehabilitation Services LLC located?
- Dynamic Rehabilitation Services LLC's practice location on file with NPPES is 4016 Cassimer Ave, Diberville, MS 39540-2309.
- What is Dynamic Rehabilitation Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Dynamic Rehabilitation Services LLC is (228) 280-8120.
- Does Dynamic Rehabilitation Services LLC accept Medicare?
- Dynamic Rehabilitation Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dynamic Rehabilitation Services LLC?
- The authorized official listed on Dynamic Rehabilitation Services LLC's NPPES record is Robert Ellis, Physical Therapist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dynamic Rehabilitation Services LLC's NPI active?
- Yes — Dynamic Rehabilitation Services LLC's NPI (1194102434) is active in the NPPES registry as of the last update on 2023-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.